Individual
MRS. BARBARA S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1353 HEAVILON HALL, 500 OVAL DRIVE, WEST LAFAYETTE, IN 47907-2038
(765) 494-3820
(765) 494-0771
Mailing address
60 CLAY CT, WEST LAFAYETTE, IN 47906-1164
(765) 494-3820
(765) 494-0771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000582177
ANTHEM
IN
05
—
200903200
—
IN
Enumeration date
07/31/2006
Last updated
11/17/2009
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